Lactose free mixture. List of the best lactose-free mixtures for newborns. Features of reception at lactase insufficiency.
The lack or absence of the lactase enzyme in the intestines of a newborn causes health problems for him, and his parents receive many worries related to child care. Nature has taken care of providing the baby with food from the very birth - the mother begins to lactate, breast milk is produced. But not all newborns fit this menu.
Signs of a problem
Pay attention to the behavior of the baby after feeding, the problem is indicated by the following symptoms:
- the baby is restless;
- he has a foamy exfoliating chair - separately curdled curd lumps and a separate frothy water;
- frequent bowel movements;
- intestinal colic;
- regurgitation up to vomiting;
- he is lagging behind the rest of the children.
If all the symptoms are present, then most likely - there is lactose deficiency. The diagnosis is made by a pediatrician after testing for intestinal flora.
Without lactase - a special enzyme that breaks down milk sugar - lactose - into glucose and galactose, milk in the intestine is not digested. In this case, breastfeeding is interrupted and the lactose-free mixture is introduced into the diet.
Lactose-free nutrition for newborns
Before introducing a new product into the diet of newborns, moms should figure out which lactose-free mixtures are with goat milk or soy milk, which trace elements and minerals are included in it.
List of lactose free formulas for children:
- "Nutrilon Soy." The main component is soy protein isolate, there are no animal products in the mixture. For normal physiological development of children, in addition to essential vitamins and minerals, the composition includes: taurine, meteonin and picturein.
- “Mamex lactose free”. Identity with breast milk was achieved by the manufacturer due to a balanced composition of vegetable fats, and easily digestible maltodextrins are used instead of carbohydrates. In the mixture there is milk protein, similar to natural.
- "Lactose Free Nutrilon". The main component is calcium caseinate. Lactose in the mixture is replaced by glucose syrup, a natural product consisting of glucose, as well as maltose and polysaccharides. The mixture has all the vitamins and trace elements necessary for the development of children, even fish oil. Fat component - oils: coconut, sunflower and palm.
- "Lactose Free Nutrilac" - one of the cheapest at the cost of mixtures. The main component is cow's milk protein. It also contains the omega-3 and omega-6 polysaturated fatty acids. The composition of this baby food is considered one of the most successful - it is as close as possible to breast milk. Children can be fed this product from birth.
- "NAN lactose free" - this hypoallergenic mixture contains no glucose at all. Its main component is corn syrup. In addition, it introduced enzymes and substances that restore the intestinal flora and protect its mucosa from irritation, and therefore this lactose-free hypoallergenic mixture is prescribed to immunocompromised children suffering from cerebral palsy and other congenital diseases - it has a beneficial effect on the state of the nervous system and strengthens the overall immunity. Of course, it is not cheap.
You can not independently transfer to a lactose-free diet of the infant or use such a diet to strengthen the immune system. This is almost a drug - after temporary use, the baby’s intestine is colonized with the necessary enzymes, and it is time to switch to a regular mixture - unfortunately, breast milk cannot be maintained for such a long adaptation period.
The pediatrician should also select food for the baby because not all children need mixtures without natural milk protein, some sufficiently adapted mixtures. The composition of this product is very similar to breast milk and milk - goat or cow - is present in it. However, the amount of naturally occurring protein is reduced, while trace elements and vitamins are increased.
What are the adapted mixtures on goat milk? One of the most popular is Bibikol Nanny“Nutrilak” and “Agusha” are not much inferior to her.
It is impossible to say which is better than a lactose-free mixture or adapted - everything is determined empirically, depending on the state of the intestinal flora of the infant. After entering into the diet, it is necessary to analyze how the child reacts to food, whether an allergy has manifested itself.
Symptoms of an allergic reaction: upset stool, belching to vomiting, restless behavior, increased gas formation, skin reactions such as urticaria and itching may occur.
The rules for introducing a lactose-free mixture into the diet are no different from those recommended when administering the first feeding: the baby is started to be fed with micro doses - from a teaspoon, tracking the body's response. A feature when entering lactose free mixture is the appearance of constipation.
It is believed that the diet is suitable and the baby can be completely transferred to it, if within 3-5 days the intestine is fully adapted, there is no increased gas production, there is no diarrhea and defecation occurs naturally - an enema is not necessary.
Allergy to lactose free mixture
Mommies, whose children react to literally all the products that are introduced into the diet, you will not envy. Children are losing weight, restless, do not allow parents to rest, it is not known how to feed such babies?
In this case, special therapeutic mixtures are used, which contain in their composition probiotics and a high content of enzymes, which makes it possible to assimilate the components that are “difficult” to digest.
Such drug mixtures include:
- Nutrilak Peptide;
- "Nutrilong comfort";
- "Nutramigen";
- "Semper Bifidus".
Prescribes nutritional treatment only pediatrician, based on the clinical picture.
Sour-milk products, such as special kefir or yogurt, which are obtained according to prescriptions in specialized pharmacies or, if the structure is preserved, in dairy kitchens, can also be introduced into the diet of children.
There is a practice when such products are manufactured in perinatal centers or kitchens at the inpatient hospital of a children's hospital.
The transition to normal nutrition
The fact that the newborn does not tolerate breast milk does not mean that he will have to avoid dairy products all his life. Very few children retain lactose deficiency for the rest of their lives.
Gradually, the baby’s intestines are colonized with beneficial microflora, its composition is normalized - especially if it feeds on mixtures with probiotics or receives them additionally - and the time comes to transition to normal feeding.
Even if it seems that the baby’s problems have ended - Mommy put the child on experience, giving him a spoon or two of new product with milk protein, it is not recommended to switch from a lactose-free mixture to the usual one until you repeat the analysis for lactose deficiency - LN.
Then they begin to introduce the usual food in micro doses or add to the formula food based on fermented milk products - one of the novelties is the French baby food “Celia® Expert”.
Alternating mixes gradually occur - 1 lactose-fed, one lactose fed;
Then reduce the amount of lactose free and remove it from the diet completely.
In most cases, by this time the infant is old enough to introduce additional supplements to it. Children with a tendency to allergic reactions in this case, instead of cereal, cooked on the basis of baby food with lactose, are advised to use dairy products and vegetable puree. If the baby is free to go on a normal diet, then it can be said that the adaptation period is over and the intestine is colonized with the necessary flora.
Which is better than the usual mixture for, "overcome" their problems, is also determined empirically, in assessing the response of the organism.
One of the problems that a mother and her child can face is a low degree (sometimes a complete impossibility) of lactose absorption or, very rarely, galactose by the child’s body. In these cases, you may need to appoint a special therapeutic mixture.
What mixtures are classified as lactose free and their composition
Mixtures that are characterized by the complete absence of lactose or its trace amount (not more than 0.1 g / l of the finished product) are referred to as lactose-free specialized mixtures. The packaging of lactose-free mixtures is labeled "BL" (eng. "LF") or simply indicates that it is lactose-free.
The protein component of such mixtures may be different. If a child does not have a food allergy to protein, then most often the protein component of adapted lactose-free milk formulas is represented by whey proteins and albumin in a ratio of 40/60 or 50/50, but such mixtures may contain traces of lactose. Fully lactose is not found in milk formulas based on calcium caseinate, which do not contain whey proteins. All these mixtures, as a rule, can be applied from birth to 12 months. In the case of galactosemia, the tendency of the child to or when it is a consequence, use mixtures with other protein components: hydrolyzed whey or casein protein, soy isolate, and in particularly severe cases with a mixture of synthetic amino acids that replace protein.
Especially carefully with the diagnosis of lactase deficiency should be in relation to newborns. Most children have little lactase activity from birth, but they increase by 2-3 months. This condition does not apply to the pathological and is a variant of the norm. Symptoms similar to lactase deficiency may also appear in the case of cow's milk protein allergy, but in this case, you will need another food that does not contain this allergen.
Lactose-free mixtures with lactase deficiency
With primary lactase deficiency (very rare), the child is immediately transferred to the lactose-free milk formula. In the future, a lactose-free diet lasts for a lifetime. With secondary lactase deficiency, the situation is somewhat more complicated.
Important! With primary lactase deficiency (very rare), the child is immediately transferred to the lactose-free milk formula. In the future, a lactose-free diet lasts for a lifetime.
Breastfeeding
Breast milk is the most important product in the nutrition of a young child, so its replacement with artificial mixtures is extremely undesirable. In this regard, first prescribed lactase preparations, which are mixed with a small amount of expressed milk and given to the child before breastfeeding. The effectiveness of taking the drug more, if the resulting mixture does not give immediately, but after 15-20 minutes, so that the lactase has time to act on milk sugar. Lactose-free mixture is prescribed only in case of failure of treatment with enzyme preparations. The mixture is introduced gradually, starting with small amounts of it, bringing the volume to 1/3 - 2/3 of the volume of breast milk eaten by the child at one feeding. Typically, the time period during which the baby starts to consume the required amount of the mixture (an average of 30-60 ml) for one feeding is 3-5 days. The fact that everything is done correctly will indicate a reduction in the symptoms of lactase deficiency.
Important! If enzyme preparations have been ineffective for the treatment of lactase deficiency during breastfeeding, lactose-free mixtures are prescribed for partial replacement of breast milk. Breastfeeding necessarily continue.
When artificial feeding
For bottle-feeding, instead of lactose-free mixtures, only low-lactose mixtures are used, since the complete elimination of lactose from the baby’s diet is fraught with serious consequences for its health.
Important! With artificial feeding, low-lactose mixtures are prescribed, since the complete elimination of lactose may result in the development of dysbacteriosis and a lack of galactose necessary for the formation of a child’s nervous system.
Symptoms of lactase deficiency with properly selected infant formula and its dosage disappear after 5-7 days from the start of treatment.
During the introduction of complementary foods
When it comes time to introduce complementary foods, all porridges are prepared in the same mixture that the child receives as a treatment. Cow milk is not used. Only from the second half of the year such children can begin to give low-lactose products - cottage cheese, hard cheese, butter.
Important! In secondary lactase deficiency, lactose-free mixtures are used temporarily until normalization of the lactase activity in the body.
Since secondary lactase deficiency is a temporary phenomenon, after 1-3 months from the start of the therapeutic diet, the diet is expanded by a gradual transfer to a normal diet. In this case, the doctor constantly monitors the condition of the child.
For premature babies
As for the problem of lactose absorption in premature babies, it is not necessary to specifically feed them with low-lactose or lactose-free mixtures, since special mixtures for premature babies are used for them, in which the lactose content is already reduced. This is because in preterm babies, the formation of the enzyme activity of lactase has not yet been completed. For premature babies who have the opportunity to get breast milk, it is important to get it, as the lactose contained in it will act as a catalyst that accelerates the maturation of the enzyme.
Lactose-free mixtures with galactosemia
Such mixtures include mixtures based on soy protein isolate, casein hydrolysates, lactose-free caseindominating dairy mixes, as well as mixtures based on synthetic amino acids. Lactose-free mixtures containing 50-60% of whey proteins are unacceptable. The best option for galactosemia are mixtures based on soy protein isolate, in which not only galactose is absent in the composition of lactose, but galactose, which is contained in plants:
- Nutrilak soy;
- Nutrilon soy;
- Frisosa;
- Humana SL.
When allergic reactions to soy appear, transfer to mixtures based on casein hydrolysates or combine them with mixtures based on soy protein isolate.
- Pregestimyl;
- Nutramigen;
- Frisosep AU.
The introduction of specialized milk formulas during galactosemia is carried out gradually, over a period of 5-7 days. The amount of the injected mixture should first be 1 / 5-1 / 10 of the daily amount of food with a further complete elimination of breast milk or the usual mixture.
Side Effects of Lactose Free Blends
As with any medication, lactose-free mixtures can have side effects.
- Lactose-free mixtures made on the basis of soy protein can cause allergies in the child.
- Long-term feeding with lactose-free mixtures can cause problems with the gastrointestinal tract: diarrhea, flatulence, colic, and dysbacteriosis.
- The sudden introduction of a lactose-free mixture can cause constipation.
Description and instructions: to " NAS NON-LACTIC, dry mix for babies from birth 400g "
NAN SAFE, 400g. Dry milk mixture
For children with lactose intolerance, to restore digestion after diarrhea.
Description.
NAN NON-LACTICit is intended for nutrition of infants, children of younger and older, as well as adults with primary or secondary lactase deficiency (lactose intolerance). The use of the mixture contributes to the relief of manifestations of lactase deficiency and also accelerates the recovery process of the intestinal mucosa. The mixture does not contain lactose and sucrose. The protein in the mixture is qualitatively and quantitatively close in composition to breast milk proteins. NAN lactose free contains all the vitamins and trace elements necessary for the development of the child's body. The nucleotides included in the mixture (nucleic acid precursors, in particular DNA), higher (in comparison with the standard mixture) zinc content (Zn) and essential fatty acids (DHA and ARA) have a regenerating and anti-inflammatory effect. ATTENTION! NAN NON-LACTIC is a medical mixture and should be used ONLY ON APPOINTMENT OF THE DOCTOR.
Contraindications.
Galactosemia, glucose galactose intolerance.
Composition.
Maltodextrin, palm olein, whey protein, potassium caseinate, rapeseed oil, coconut oil, corn oil, potassium phosphate, calcium citrate, soy lecithin, sodium chloride, magnesium chloride, vitamins, taurine, nucleotides, potassium chloride, zinc sulfate, ferric sulfate , L-carnitine, copper sulfate, potassium iodide.
Cooking method:
Wash and sterilize the bottle and pacifier.
Cool boiled water to 37 ° C.
Referring to the feeding chart, determine the required amount of water in the bottle. Add half the required volume of warm water to the bottle.
Referring to the feeding chart, add the exact amount of measuring spoons of powder according to the age of your baby. Use only a measuring spoon, located in the bank, filled without a slide.
Shake the bottle until the powder is completely dissolved.
Add the remaining half of the warm water to the bottle. Shake the bottle thoroughly again.
Check the temperature of the finished mixture on the inside of the wrist. (37 ° C).
After cooking, the jar should be tightly closed with a lid.
100ml Nan-lactose-free mixture = 90ml of water + 13.3g of dry powder (3 scoops); 1 scoop = 4.43g of powder.
Important: The mixture should be prepared immediately before each feeding. Accurately follow the instructions on the bank. Remaining after feeding the diluted infant formula NAS lactose free, it is not subject to storage and the subsequent use. During feeding, support the child so that he does not choke. when the baby grows up, go on feeding from the cup.
Storage: Before and after opening, mixture Nan Lactose Free Store at a temperature not higher than 25 degrees and relative air humidity not more than 75%.
After opening to use within three weeks, it is not recommended to store in the refrigerator.
Infant formula NAS Lactose free made from raw materials produced by selected suppliers without using genetically modified ingredients.
The ideal food for an infant is mother’s milk. World Health Organization recommends exclusive breastfeeding for the first six months and the subsequent introduction of complementary foods with continued breastfeeding. Nestle supports this recommendation. Consultation of a pediatrician is necessary to make a decision on the timing and method of the introduction of this product into the child’s diet. Age limits are indicated on the packaging of goods in accordance with the legislation of the Russian Federation
- - Description and photos in the cards of goods may vary with what is presented in the pharmacy. Please check the information with the operators before placing the order.
- - This product can not be exchanged and returned on the basis of the resolution 55 of 01/19/1998
“Nan lactose free” is a formula intended for the therapeutic nutrition of babies who are bottle-fed.
What is the “lactose free” composition and form of release?
Means for medical nutrition is made in a dry mix. In a liter of finished baby food contains about 670 kcal. The composition of Nan lactose-free contains the following components that are necessary for nutritional nutrition of the child, list them: fat, linoleic acid, protein, docosahexaenoic and alpha-linolenic acid, as well as arachidonic acid, carbohydrates, maltodextrin.
In addition, the mixture contains the following mineral compounds: sodium, copper, zinc, in addition, potassium, selenium, chlorides, calcium, manganese, phosphorus, iron, iodine, magnesium, and various vitamins are present: A, D, E, K, ascorbic acid, riboflavin, thiamine hydrochloride, pyridoxine hydrochloride, cyanocobalamin.
Among the necessary components that are present in Nan are lactose free, we can note the presence in the mixture of such substances: niacin, nucleotides, folic and pantothenic acid, carnitine, biotin, taurine, as well as choline, inositol.
The mixture is available for sale in cans, the capacity of which is 400 grams. Attached measuring spoon, with which you can measure the desired amount of dry powder. Shelf life is two years. After its expiration, baby food should not be used.
What is a mixture of Nan lactose free effect?
Nan-lactose-free infant formula provides the baby with many nutrients that are necessary for its optimal development, both physical and mental. Due to its full composition, it is easily absorbed by the body of the child, strengthens the immune system, helps reduce inflammatory processes.
Artificial feeding should be chosen by the pediatrician taking into account the characteristics of the baby’s body, this mixture is lactose free, that is, it does not contain lactose, which is not absorbed by the body of some children, since they do not have enough special enzyme lactase. This food almost does not cause allergic reactions, with rare exceptions, that is, the mixture can be classified as hypoallergenic.
What are nan lactose free indications for use?
Nan lactose-free (mixture) instructions for use allows for babies with lactase deficiency as a means of feeding from the first days of life. Before using it, it is important to consult with the attending pediatrician.
What are nan-lactose free contraindications?
Nan lactose free instructions for use does not allow to use for babies with diagnosed galactosemia, and this mixture is not prescribed for babies with glucose-galactose intolerance.
What nan lactose free use and dosage?
Nan-lactose-free dry mixture must first be diluted with boiled water, and it is important to follow the instructions attached to the package if there is no other recommendation of the attending pediatrician.
To prepare the nutrient mixture, it is important to perform the following steps. First you need to wash and sterilize the bottle or cup with the teat. Next, you need to boil the water, after which the liquid should be cooled to a temperature of 37 degrees.
Then, half a volume of water from the required one is poured into a bottle or cup and carefully pour the prescribed number of measuring spoons of the dry mixture without a slide. After that, the nutrient mixture should dissolve, for this you need to shake the container, and then pour the rest of the water and shake everything well again so that there are no lumps.
It is necessary to prepare the mixture shortly before feeding, it is not necessary to offer the baby a product that has remained from past feedings. It is worth noting that improper dilution of dry powder can lead to dehydration of the child’s body. The proportions indicated in the table cannot be changed without consulting a pediatrician.
What are nan lactose free side effects?
In fairly rare situations, there were cases of an allergic reaction to the use of a nan-lactose-free mixture. In this situation, use baby food should not be. It is important to consult a pediatrician.
Special conditions
To determine the required amount of water, as well as the Nan-lactose-free dry mixture, which we continue to talk about on this page www.site, it is necessary to be guided by the feeding table, which is presented in the instructions or directly on the bank.
If you have acute diarrhea, in response to the use of a dry mixture of Nan-lactose free, it is necessary to urgently consult with your pediatrician. It is worth remembering that the loss of fluid, as well as electrolytes, by the body without their corresponding replenishment is fraught with the onset of a state of dehydration, which is dangerous for the baby’s life.
The finished mixture left after feeding the child should not be reused by additional warming, otherwise dyspeptic symptoms may occur, the baby may develop abdominal pain, anxiety will join.
What to replace nan lactose free, which analogues to use?
There are no lactose free analogs.
Conclusion
It is necessary to apply Nan-lactose mixture after preliminary consultation with the attending pediatrician, while it is important to put the amount of dry powder specified in the instructions for use of the product, unless the doctor has recommended otherwise.
Low-lactose and lactose-free mixtures are special therapeutic compositions and are intended for feeding babies with lactase deficiency - the body's inability to digest (partially or completely) lactose-containing foods, including milk.
Specialists of the online store "Daughters-son" will help to understand the very concept of "lactose free mixture." What mixture is best for a child with a certain symptom to restore the intestinal microflora and normalize digestion, tell your pediatrician.
Differences lactose free mixtures from conventional
Lactose-free mixture should be introduced into the diet of the baby should only be prescribed by a doctor. This is not the usual adapted baby food, and medical. This is their key difference. In the compositions of standard mixtures, lactose is present in one quantity or another, and is absent in lactose-free ones. The basis of such nutrition is non-lactose substitutes, for example, soy, or goat or cow's milk with a reduced protein content, processed using a special technology.
Nevertheless, the lactose-free mixture contains all the nutritional components necessary for the normal development of the child. Due to the increased level of vitamins, minerals and trace elements, the mixture is well absorbed and makes up for the deficiency of all the substances necessary for the child’s body.
Moms will be able to independently detect the symptoms of lactase deficiency in their baby. A pediatrician should be contacted if a newborn or infant suffers from:
- increased gas and abdominal pain;
- frequent liquid frothy stools with a sour odor;
- cessation of weight gain.
In addition to lactase deficiency, a lactose allergy may be the cause of entering into the diet of a baby's lactose-free mixtures. The pediatrician will be able to choose the best nutritional option after additional clinical studies.
What lactose free mixture to choose
In the assortment of almost all manufacturers of baby food there are options without lactose. Each company speaks about the undeniable advantages of its product. The compositions of mixtures of different brands are generally similar, but there are still differences.
The most popular are the following types of lactose-free mixtures:
- Nan BG;
- Nutrilon BL;
- Nutrilak BL;
- Enfamil O-lac;
- Celia LF;
- "Bellakt BL";
- "Grandma's basket of BL."
All these mixtures are adapted for feeding babies with lactase deficiency or with allergies to milk sugar. Carbohydrates in such formulations are represented by dextrin maltose, fats - vegetable oils, including palm oils. These options differ in the ratio of whey proteins to casein, the proportions of vitamins, micro-and macro.
Pediatrician opinion
You can get acquainted with the peculiarities of lactose free mixtures, learn how these products affect the baby’s body, parents can independently, after reading the reviews of moms on the forums or nutritional compositions of different brands. But only a qualified doctor will be able to take into account the characteristics of the body and the health of your baby when choosing a meal, only the doctor will tell you which mixture is best for you.
How to switch to lactose free mixture
It is very important not only to choose artificial nutrition, but also to take it correctly. Since even the best lactose free mixture can cause a deterioration of the baby’s well-being, allergies, constipation and other undesirable consequences.
Go to the mixture without lactose should be phased, without a sharp decrease in the amount of lactose produced:
- 1 day - 30 ml once between normal meals;
- 2 day - twice 60 ml;
- 3-4 day - two full feedings;
- 4-5 days - a complete transition to lactose-free nutrition.
It should be noted that the duration of the reception lactose-free mixtures sets a doctor. As a rule, such nutrition is used until the baby is completely cured. Once the work of the digestive tract is restored, you can switch to the usual mixtures or compositions with a reduced content of lactose.
findings
Pediatricians recommend feeding children with lactase deficiency or an allergic reaction to milk sugar with special lactose-free mixtures. For each baby, given its characteristics and state of health, the option of the best mix may be different. Proper use of lactose-free nutrition will overcome the lactose crisis and strengthen the child’s immunity.